Inland Valley Recovery Services

NPI 1073744660 - Clinic/Center - 261QR0401X

NPI Details
NPI 1073744660
Enumeration Date 07/31/2009
Last Updated 07/31/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STACY LYNN STACY
Position EXECUTIVE DIRECTOR
Phone (909) 889-6519
Fax (909) 889-6560
Practice Location
939 N D ST
SAN BERNARDINO CA, 92410-3519, US
Phone (909) 889-6519
Fax (909) 889-6560
Business Location
916 N MOUNTAIN AVE STE A
UPLAND CA, 91786-3658, US
Phone (909) 932-1069
Fax (909) 932-1087
Toxanomy
Taxonomy Code 261QR0401X
License State California
License Number 36001AAN
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According to our database, Inland Valley Recovery Services NPI is 1073744660, taxonomy code is 261QR0401X and license number is 36001AAN, license state is located at California. Inland Valley Recovery Services physically located at 939 N D St, San Bernardino CA, 92410-3519. NPI Number 1033115704 has the healthcare provider type.

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1073744660 NPI number is provided on an as is basis without warranty of any kind. 1073744660 is maintained by the National Plan & Provider Enumeration System. The contents of Inland Valley Recovery Services are for informational purposes only.